The Role of the Midwife During Pregnancy, Labour and Post-partum

It is widely recognised that maternal and foetal risks are associated with maternal obesity (body mass index (BMI)≥30 kg/m2 according to Obesity – Preventing and Managing the Global Epidemic – Report of a WHO Consultation on Obesity, 1999). To minimise risk and effectively manage possible complications associated with maternal obesity, individualised care pathways are essential for women with a BMI≥30 kg/m2. A holistic approach is vital as women with a BMI≥30 kg/m2 have complex needs requiring multidisciplinary skills and knowledge. Midwives play a special role in this holistic individualised care pathway as they have contact with women at least once in their pregnancy and thus have the potential to make a difference to the health of the pregnant woman, her baby and the wider family. Pregnancy is an ideal opportunity to provide women with advice and support regarding their weight and how to have a healthy lifestyle and has potential for long-term impact. This chapter will focus on the role of the midwife when contributing to multidisciplinary individualised care to this target group. Current literature and examples from practice will be used to illustrate the main issues.